RNA VIRUS - FLAVIRIDAE - Hepatitis C Flashcards
Enveloped, icosahedral, non-segmented, (+) ssRNA
Hepatitic C
Reservoir for HCV
Humans
Replication of HCV in the liver is enhanced by LIVER SPECIFIC MICRO RNA
miR -122
Causes death of hepatocytes
immune attack by cytotoxic T cells
Greatly enhances the rate of hepatocellular carcinoma
Alcoholism
Incubation period of HCV
8 weeks
HCV infection leads to AUTOIMMUNE REACTIONS and EXTRAHEPATIC MANIFESTATIONS
thyroiditis autoimmune hemolytic anemia ITP MPGN porphyria cutanea tarda DM leukocytoclastic vasculitis increase risk of B cell NHL lichen planus
The main cause of essential mixed cryoglobulinemia
HCV
Chronic Infection
elevated transaminase level
(+) RIBA
detectable viral RNA for at least 6 mos
Treatment for Acute Hepatitis C
Peginterferon alfa
Treatment for Chronic Hepatitis C
Peginterferon alfa-2a
Ribavirin
The MC indication for liver transplantation
Cirrhosis d r. chronic HCV infectio